NPI 1740997477

Rush Pediatric Neuropsychology, PLLC

Organisation Clinical Neuropsychologist Grand Rapids, MI

Practice location

Address: 412 Plymouth Ave NE, Grand Rapids, MI 49505-6028
Phone: (616) 780-0590
Fax: (616) 984-4559

Authorised official

Name: Shana J Rush
Title: Owner
Phone: (616) 780-0590

Registered specialties (2)

Clinical Neuropsychologist Primary

Behavioral Health & Social Service Providers Taxonomy 103G00000X

Other Clinical Neuropsychologist providers in Michigan →

Psychologist

Behavioral Health & Social Service Providers Taxonomy 103T00000X

Other Psychologist providers in Michigan →

Registry record

NPI: 1740997477
Entity type: Organization
NPI issued: 2 Nov 2022
Record last updated: 12 May 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.